ClinicalTrials.gg
Enrolling by invitationNCT04942886Updated Jul 18, 2025

Prophylactic Entecavir for HBV Reactivation in Past HBV Infected Patients With Hematopoietic Stem Cell Transplantation

An interventional study of Baracle Tab.® in Hepatitis B Reactivation, Hematopoietic Stem Cell Transplantation and Antiviral Drug, sponsored by Seoul St. Mary's Hospital. Enrolling by invitation at 1 site in South Korea. Open to participants aged 19 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-07-18.

Sponsored by Seoul St. Mary's Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
226
Allocation
Randomized
Ages
19 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 77 studies in Hepatitis B with a site in Korea, Republic of — 4 open to participants now, 7 under way, 1 of them phase 3. Hepatitis B · Korea, Republic of.

Planned enrollment
10th of 71
226 · median 80
Started
2021
with 7 others
No phase
3 of 77
1 open now
Registered
62nd of 77
by date

Among the 77 studies in Hepatitis B with a site in Korea, Republic of, this one is the 10th largest by planned enrollment of the 71 interventional ones that give a count, is one of 8 that started in 2021, is one of 3 with no phase, and was the 62nd registered.

Hepatitis B

1,045 studies on the registry are indexed under Hepatitis B; 139 are open to participants now.

This study's planned enrollment of 226 is above the median of 147 across 756 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Open to participants now

4 of the 77 studies in Hepatitis B with a site in Korea, Republic of are open now.

All 4 open studies →

A study can be open while its sites in Korea, Republic of have not opened yet or have stopped. Only those recruiting at a site in Korea, Republic of →

Who these studies take

Of the 79 Hepatitis B studies recruiting now, 40 (51%) set no upper age limit and 34 (43%) stop at 75 or younger; 13 take children under 18; 19 take healthy volunteers.

This study: 19 Years to 70 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 77 studies in Hepatitis B with a site in Korea, Republic of, or all of them as a file.
02

Study summary

This study is a randomized, prospective, comparative study of the effectiveness of prophylactic entecavir treatment for HBV reactivation in past HBV infected patients (HBsAg-, HBcIgG+) with allogeneic hematopoietic stem cell transplantation.

Read the detailed description

This study is a randomized, prospective, comparative study of the effectiveness of prophylactic entecavir treatment for HBV reactivation in past HBV infected patients (HBsAg-, HBcIgG+) with allogeneic hematopoietic stem cell transplantation.

In this study, patients are randomized into treatment group or delayed treatment group.

* Stratified randomization (Block randomization within strata) according to the presence of HBsAb at baseline was used in this study.

  1. Experimental: Treatment group (n=113) The intervention group take entecavir 0.5mg everyday by oral administration for 3 years after allogeneic hematopoietic stem cell transplantation. The intervention group visit clinic every month and examined liver function test, HBsAg/Ab. HBV DNA level is examined at every 3 months.

    * oral administration of entecavir is planned to start within 7 days after hematopoietic stem cell transplantation.

  2. No Intervention: delayed treatment group (n=113) The delayed treatment group visit clinic every month and examined liver function test, HBsAg/Ab. HBV DNA level is examined at every 3 months. If the patient in the delayed treatment group shows HBV reactivation (positive HBsAg or HBV DNA ≥10 IU/mL), entecavir treatment is started.
03

Conditions studied

  • Hepatitis B Reactivation
  • Hematopoietic Stem Cell Transplantation
  • Antiviral Drug
  • HBV

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Keywords

  • Hepatitis B Reactivation
  • hematopoietic stem cell transplantation
  • Prophylatic antiviral agents
  • Past HBV infection
04

Who can participate

Ages eligible
19 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age: 19 - 70

    • Patients receiving hematopoietic stem cell transplantation
    • serologic test: HBsAg (-), anti-HBc IgG (+) before receiving allogeneic hematopoietic stem cell transplantation
    • performence: 0-2
    • patients with

Exclusion criteria

  • (+, ≥10 IU/mL) at the time of screening

    • Receiving hematopoietic stem cell transplantation from donor with HBsAg+
    • Combined other chronic liver disease (severe alcoholics, hepatitis, chronic etc.)
    • (+)
    • Previous antiviral therapy history for chronic hepatitis B
    • Other concomitant
    • Combined autoimmune disease (rheumatic arthritis, SLE etc)
    • CTP class B, C
    • Decompensated complications (ascites, hepatic encephalopathy etc.)
    • Active tuberculosis
    • Patients with lymphoma
    • Patients receiving hematopoietic stem cell transplantation
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
226 participants (estimated)

Study arms

  • Experimental
    Treatment group

    The intervention group take entecavir 0.5mg everyday by oral administration for 3 years after allogeneic hematopoietic stem cell transplantation. The intervention group visit clinic every month and examined liver function test, HBsAg/Ab. HBV DNA level is examined at every 3 months.

    Drug: Baracle Tab.®

  • No intervention
    delayed treatment group

    The delayed treatment group (control group) visit clinic every month and examined liver function test, HBsAg/Ab for 3 years after allogeneic hematopoietic stem cell transplantation. HBV DNA level is examined at every 3 months for 3 years after allogenic hematopoietic stem cell transplantation. If the patient in the delayed treatment group shows HBV reactivation (positive HBsAg or HBV DNA ≥10 IU/mL), entecavir treatment is started.

Interventions

  • DrugBaracle Tab.®

    The intervention group take entecavir 0.5mg everyday by oral administration for 3 years after hematopoietic stem cell transplantation.

    Also known as: Prophylactic treatment group

06

What researchers measure

Primary outcomes

  1. Comparison of the rate of HBV reactivation between the treatment and delayed treatment groups.

    Comparing the rate of HBV reactivation between the treatment and delayed treatment groups during 3 years after hematopoietic stem cell transplantation \* Definition of HBV reactivation: HBsAg ≥ 1.0 S/CO or HBV DNA ≥ 10 IU/mL

    Time frame: The primary outcome is evaluated during 3 years after hematopoietic stem cell transplantation

Secondary outcomes

  1. Comparison of the rate of active hepatitis with HBV reactivation between the treatment and delayed treatment groups.

    Comparing the rate of active hepatitis with HBV reactivation between the treatment and delayed treatment groups. \* Definition of active hepatitis: ALT \>= 2 times of upper normal limit

    Time frame: The secondary outcomes are evaluated during 3 years after hematopoietic stem cell transplantation.

  2. Comparison of the rate of hepatic failure related to HBV reactivation between the treatment and delayed treatment groups.

    Comparing the rate of hepatic failure between the treatment and delayed treatment groups.

    Time frame: The secondary outcomes are evaluated during 3 years after hematopoietic stem cell transplantation.

  3. Comparison of the rate of survival related to HBV reactivation between the treatment and delayed treatment groups.

    Comparing the rate of survival related to HBV reactivation between the treatment and delayed treatment groups.

    Time frame: The secondary outcomes are evaluated during 3 years after hematopoietic stem cell transplantation.

07

Study locations

1 site
  • Jeong Won Jang
    Seoul, 06599, South Korea
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — According to the guideline of our institutional review board, the patient data could not be opened to other researchers.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2021 (actual). Primary completion is estimated for Dec 2028, 88 months after the start.

Of 62 non-industry interventional studies with no phase under Hepatitis B, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 47. This study's planned 88 months is above that.

Counting every sponsor, half of 68 studies reached it within 29 months; a quarter within 11 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 15, 2021
First posted
Jun 29, 2021
StartActual
Aug 21, 2021
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Jul 18, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04942886
Lead sponsor
Seoul St. Mary's Hospital
Responsible party
Dong-Gun Lee (professor, Seoul St. Mary's Hospital) — Principal investigator
First posted
Jun 29, 2021
Start date
Aug 21, 2021
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Jul 18, 2025

Study contacts

Jeong Won Jang, Professor
study chair · Seoul St. Mary's Hospital, the catholic university of Korea

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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